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Working and Learning as a Team to Improve Patient Safety Mark Daly, RRT, MA(Ed.) Patient Safety Officer, McGill University Health Centre Lecturer, Faculty of Medicine, McGill University June 16, 2012

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Page 1: Working and Learning as a Team to Improve Patient Safety Mark Daly, RRT, MA(Ed.) Patient Safety Officer, McGill University Health Centre Lecturer, Faculty

Working and Learning as a Team to Improve Patient Safety

Mark Daly, RRT, MA(Ed.)

Patient Safety Officer, McGill University Health Centre

Lecturer, Faculty of Medicine, McGill University

June 16, 2012

Page 2: Working and Learning as a Team to Improve Patient Safety Mark Daly, RRT, MA(Ed.) Patient Safety Officer, McGill University Health Centre Lecturer, Faculty

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Session objective

1. Define patient safety

2. Demonstrate the importance of the interprofessional team

3. Review frameworks which focus on interprofessionalism

Page 3: Working and Learning as a Team to Improve Patient Safety Mark Daly, RRT, MA(Ed.) Patient Safety Officer, McGill University Health Centre Lecturer, Faculty

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What is Patient Safety?

“…the reduction and mitigation of unsafe acts within the healthcare system, as well as through

the use of best practices shown to lead to optimal patient outcomes.”

The Canadian Patient Safety Dictionary, October 2003.

Page 4: Working and Learning as a Team to Improve Patient Safety Mark Daly, RRT, MA(Ed.) Patient Safety Officer, McGill University Health Centre Lecturer, Faculty

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A True Story

Page 5: Working and Learning as a Team to Improve Patient Safety Mark Daly, RRT, MA(Ed.) Patient Safety Officer, McGill University Health Centre Lecturer, Faculty

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1. Communicate among ALL team members

2. Listen to the patient or family member

3. Look at the patient

She is asking us to

change the system

What is Sorrel King asking you to do?

Page 6: Working and Learning as a Team to Improve Patient Safety Mark Daly, RRT, MA(Ed.) Patient Safety Officer, McGill University Health Centre Lecturer, Faculty

The Safety Competencies – Enhancing Patient Safety Across the Health Professions

Published in 2008 by the Canadian Patient Safety Institute

A collaborative effort with the Royal College of Physicians and Surgeons of Canada

Designed for interprofessional use

Patterned after the CanMEDS framework

Page 7: Working and Learning as a Team to Improve Patient Safety Mark Daly, RRT, MA(Ed.) Patient Safety Officer, McGill University Health Centre Lecturer, Faculty

The Safety Competencies

Six domains

Twenty-three key

competencies

One hundred and forty

enabling competencies

Page 8: Working and Learning as a Team to Improve Patient Safety Mark Daly, RRT, MA(Ed.) Patient Safety Officer, McGill University Health Centre Lecturer, Faculty

Domains

1. Contribute to a culture of patient safety

2. Work in teams for patient safety

3. Communicate effectively for patient safety

4. Manage safety risks

5. Optimize human factors and environmental factors

6. Recognize, respond to and disclose adverse events.

Proposed to be included in revised CanMEDS framework 2015

Page 9: Working and Learning as a Team to Improve Patient Safety Mark Daly, RRT, MA(Ed.) Patient Safety Officer, McGill University Health Centre Lecturer, Faculty

Culture of patient safety supports Working in teams

Encourage team members to speak up, question...safety issues and risks…

Page 10: Working and Learning as a Team to Improve Patient Safety Mark Daly, RRT, MA(Ed.) Patient Safety Officer, McGill University Health Centre Lecturer, Faculty

Communicating effectively

Among healthcare team members: SBAR (Situation, Background, Assessment,

Recommendation) Graded assertions (4 levels with increasing

urgency at each level)With patients/families: Use a variety of tools and techniques Assess understanding

(repeat-back, demonstrate)

Page 11: Working and Learning as a Team to Improve Patient Safety Mark Daly, RRT, MA(Ed.) Patient Safety Officer, McGill University Health Centre Lecturer, Faculty

Canadian Medical Protective Association: Good Practices Guide

Mapped to CPSI Safety Competences Added Professionalism theme E-learning Student and faculty sections Actual closed cases Quizzes Interactive activities Launch Fall 2012

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Page 12: Working and Learning as a Team to Improve Patient Safety Mark Daly, RRT, MA(Ed.) Patient Safety Officer, McGill University Health Centre Lecturer, Faculty

Association of Faculties of Medicine of Canada and theRoyal College of Physicians and Surgeons of Canada

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http://www.afmc.ca/future-of-medical-education-in-canada/

Page 13: Working and Learning as a Team to Improve Patient Safety Mark Daly, RRT, MA(Ed.) Patient Safety Officer, McGill University Health Centre Lecturer, Faculty

1. Patient safety involves: System Best practices Optimal patient outcome

2. Frameworks CPSI Safety Competencies FMEC-MD and FMEC-PG CMPA Good Practices Guide

3. Interprofessional teamwork is the key to improving patient safety.

Key messages

Thank [email protected]